Báo cáo y học: "Recently published papers: of head injuries, high frequencies and haemodynamic optimization" pps

... mortality and transfusion. Vincent and colleagues used a propensity scoring system to identify two distinct groups and control for confounders, and found an odds ratio of 1.37 for mortality in transfusion ... recommendations regarding plateau pressures. Kern and Shoemaker [11] recently looked back at the successes of haemodynamic goal-directed therapy in a meta- analysis of...

Ngày tải lên: 12/08/2014, 19:21

... consequence of severe injury. What the study does highlight is the fact that our knowledge of critical illness polyneuropathy and myopathy is scant. The challenge now is to try to identify risk factors ... goal-directed therapy should be applied to other groups is a different matter. Many ICUs still employ the use of a pulmonary artery catheter in patients with acute lung injury and/...

Ngày tải lên: 12/08/2014, 19:22

... Katayama Y, Asoh S, Ohta S: Hydrogen acts as a therapeutic antioxidant by selectively reducing cyto- toxic oxygen radicals. Nat Med 2007, 13:688-694. 9. Fukuda KI, Asoh S, Ishikawa M, Yamamoto Y, ... anti-inflammatory effects of the hydrogen were very striking. The impracticality of repeating this study in any clinical setting, due to the explosive risk, relegated it to a fascinating bu...

Ngày tải lên: 13/08/2014, 08:20

... on the DECREASE series [10] by Poldermans and colleagues, which were “mainly observational, done primarily only on vascular surgery patients and in only one country in the world”. However, patients ... to 1.26) and increase number of days off mechanical ventilation. Although the probability of a positive effect was high (93.2%), a null hypothesis could not be excluded. As Adhikari...

Ngày tải lên: 13/08/2014, 11:22

... of ventilator and ICU days and consequently outcome, and that a sedation protocol including daily cessation of sedative agents is of benefit. However, is any one agent or group of agents superior ... be a good measure of best sedation. It is probably a case of not what you use but how you use it that really matters. Diuretics in acute renal failure and the benefits of er...

Ngày tải lên: 12/08/2014, 19:22

... phenomenon. Obesity Against the background of the global epidemic of obesity, the impact of body mass index on the short-term outcomes of critical illness has been investigated by Tremblay and Bandi [5]. ... They reported an alarmingly high incidence of peripheral neurological deficits on examination (13/22, 59% of Commentary Recently published papers: small pieces of th...

Ngày tải lên: 12/08/2014, 19:22

... be a very quick and useful method for rapidly assessing the risk for dying. Scores of 0, 1–2 and 3–4 were associated with mortality rates of 3%, 21% and 56%, respectively. This may well prove to ... ventilation; and septic shock) gave positive and negative predictive values for ICU admission of 87% and 94%, respectively. However, prediction of mortality was better with eit...

Ngày tải lên: 12/08/2014, 20:20

... conventional insulin therapy (between 10.0 and 11.1 mmol/L). The primary end point of ICU mortality was used. A plethora of secondary end points were assessed, including rates of hypoglycaemia. Results ... associated with an increased risk of hospital death. Commentary Recently published papers: A series of negative results Robert Galloway and Richard Venn Department of Cr...

Ngày tải lên: 13/08/2014, 15:21

... to Commentary Recently published papers: A review of novel strategies in the prevention of hospital-acquired infections, the ability of intensivists to perform echocardiography, and the benefit of polymyxin ... specific early exercise and mobilisation (physical and occupational therapy). In their group of 104 patients, early physical and occupational therapy significantl...

Ngày tải lên: 13/08/2014, 18:22

... paper on the effects of methylprednisolone in unresolving acute respiratory distress syndrome [10], and may account for a therapeutic modality by which high- dose steroid therapy works. It is difficult ... levels is of significance because this proinflammatory cytokine has been correlated with severity of septic shock, and this may explain the quicker resolution of organ-related...

Ngày tải lên: 12/08/2014, 18:21